For the viral structure of rubella virus is true that

Correct Answer: D

Rationale: The correct answer is D because the rubella virus has icosahedral symmetry, meaning it has a spherical shape with 20 equilateral triangular faces. This symmetry is common in many viruses and allows for efficient packaging of genetic material. Choice A is incorrect because the rubella virus does have glycoprotein spikes on its surface. These spikes help the virus attach to host cells. Choice B is incorrect because the rubella virus does have an envelope derived from the host cell membrane. This envelope plays a role in viral entry into host cells. Choice C is incorrect because the rubella virus is an ssRNA virus, not ssDNA. Its genetic material is single-stranded RNA, not DNA. In summary, the rubella virus has icosahedral symmetry and possesses glycoprotein spikes, an envelope, and ssRNA genetic material, making choices A, B, and C incorrect.

Correct Answer: B

Rationale: The correct answer is B: Yersinia enterocolitica. Y. enterocolitica is known to cause gastroenteritis and diarrhea in humans. It is often associated with contaminated food or water. Bordetella pertussis causes whooping cough, not diarrhea. Corynebacterium diphtheria causes respiratory diphtheria. Neisseria meningitidis is associated with meningitis and septicemia, not diarrhea. Therefore, based on the patient's symptoms and history, Y. enterocolitica is the most likely cause of the diarrhea in this case.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Gram-positive cocci in clusters suggest Staphylococcus or Streptococcus. 2. Catalase-positive and coagulase-positive narrow it down to Staphylococcus. 3. Staphylococcus aureus is catalase-positive and coagulase-positive. Therefore, the likely causative agent is Staphylococcus aureus. Summary: A: Correct - Staphylococcus aureus fits all the characteristics. B: Incorrect - Staphylococcus epidermidis is catalase-negative and coagulase-negative. C: Incorrect - Streptococcus pyogenes is catalase-negative and coagulase-negative. D: Incorrect - Enterococcus faecalis is catalase-negative and coagulase-negative.

Correct Answer: D

Rationale: The correct answer is D: thimerosal. Thimerosal is a mercury-containing compound used as a preservative in vaccines. It helps prevent contamination and growth of bacteria and fungi in multi-dose vials. Choice A, analgesic, refers to pain relievers, not preservatives. Choice B, EDTA, is a chelating agent used to bind metal ions and is not a preservative. Choice C, codeine, is an opioid pain medication and not a preservative used in vaccines. Thimerosal is the correct answer as it specifically fits the description of a mercury-containing compound used in vaccines.

Correct Answer: A

Rationale: Rationale: 1. Gram-positive cocci in pairs indicate Streptococcus pneumoniae. 2. Presence of a capsule points to S. pneumoniae as it has a polysaccharide capsule. 3. S. pneumoniae commonly causes sore throat. 4. Neisseria meningitidis, Haemophilus influenzae, and Klebsiella pneumoniae are not typically associated with sore throat.

Correct Answer: A

Rationale: The correct answer is A: Candida fungi. In the context of a 70-year-old man with angular cheilitis (lesion at the corners of the mouth) and stomatitis, the presence of large ovoid gram-positive cells points towards Candida species, which are yeast fungi. Candida is a common opportunistic pathogen that can cause oral thrush and angular cheilitis in immunocompromised individuals, such as elderly people. Candida fungi are known to appear as large ovoid cells under microscopic examination. Summary of other choices: B: Streptococci are gram-positive bacteria and are not typically associated with large ovoid cells seen in this case. C: Staphylococci are also gram-positive bacteria and are not known to present as large ovoid cells in this context. D: Neisseria are gram-negative bacteria and are not the usual etiological agents for oral lesions like angular cheilitis.

Correct Answer: C

Rationale: The correct answer is C: genes with plasmid location. Clostridium tetani produces exotoxins through genes located on plasmids. Plasmids are extrachromosomal genetic elements that carry additional genes. These genes encode for the production of exotoxins in Clostridium tetani. Choices A, B, and D are incorrect because Clostridium tetani does produce exotoxins, it does not have only endotoxin activity, and the genes responsible for exotoxin production are located on plasmids, not solely on the chromosome or both chromosome and plasmid.

Correct Answer: D

Rationale: The correct answer is D. Sepsis is a systemic response to infection resulting in organ dysfunction. A: Sepsis can be caused by bacterial infection, but it is not solely defined by the presence of bacteria in the blood. B: Bacteremia is the presence of bacteria in the blood, which can be a component of sepsis, but sepsis involves a broader systemic response beyond just bacteremia. C: Sepsis can lead to the release of toxins and organ failure, but sepsis itself is not defined solely by the massive proliferation of toxins. Therefore, the correct answer is D, as sepsis can involve the presence of bacteria, bacteremia, systemic manifestations, and organ failure.

Correct Answer: B

Rationale: The correct answer is B, Clostridium botulinum. This bacterium is capable of forming spores, which are dormant, resistant structures that help bacteria survive harsh conditions. Staphylococcus aureus (A), Escherichia coli (C), and Neisseria gonorrhoeae (D) do not form spores. Staphylococcus aureus is a gram-positive bacterium that does not produce spores. Escherichia coli is a gram-negative bacterium that also does not form spores. Neisseria gonorrhoeae is a gram-negative bacterium and does not have the ability to form spores. Therefore, the only bacteria among the options that can form spores is Clostridium botulinum.